Kassen Sears

NPI 1790925253 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1790925253
Gender Female
Enumeration Date 02/24/2009
Last Updated 02/24/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
110 SKYLINE DR
RUSSELLVILLE AR, 72801-3362, US
Phone (479) 967-5570
Fax (479) 890-5364
Business Location
110 SKYLINE DR
RUSSELLVILLE AR, 72801-3362, US
Phone (479) 968-1298
Fax (479) 968-6053
Toxanomy
Taxonomy Code 164W00000X
License State Arkansas
License Number L29113
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According to our database, Kassen Sears NPI is 1790925253, taxonomy code is 164W00000X and license number is L29113, license state is located at Arkansas. Kassen Sears physically located at 110 Skyline Dr, Russellville AR, 72801-3362. NPI Number Kassen Sears has the Individual type.

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1790925253 NPI number is provided on an as is basis without warranty of any kind. 1790925253 is maintained by the National Plan & Provider Enumeration System. The contents of Kassen Sears are for informational purposes only.